| NPI | 1710205505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A JORDAN President 949-888-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 51597) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-05-26 |